MEDICARE: ARUNA PATEL R.PH.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051-0370257	IL

General Provider Information

NPI Number	:	1598930836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARUNA PATEL R.PH.

Provider Business Mailing Address
First Line	:	1401 ELM ST FL 5
Second Line	:	LOCKBOX 840397
City	:	DALLAS
State	:	TX
Zip	:	75202-2910
Country	:	US
Telephone Number	:	847-634-7900
Fax Number	:	847-634-7832

Provider Business Practice Location Address
First Line	:	800 BIERMANN CT
Second Line	:	SUITE A
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-2151
Country	:	US
Telephone Number	:	847-634-7900
Fax Number	:	847-634-7832

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	04/28/2008

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